John Paladino directs the activities of the InterSystems support, quality assurance, internal computer operations, and customer education groups. Since joining InterSystems in 1984, he has been instrumental in developing an automated support tracking system, customer training programs for all InterSystems software products, creation and implementation of service standards designed to improve responsiveness and increase customer satisfaction, and multiple domestic and international team-building initiatives.
Improve performance, deliver exceptional application reliability, power data analysis and standards-based interoperability. Built-in support for FHIR based interoperability and access to TrakCare API's provides numerous options for expanding your healthcare ecosystem within a rapidly changing environment.
Improve performance, deliver exceptional application reliability, power data analysis and standards-based interoperability. Built-in support for FHIR based interoperability and access to TrakCare API's provides numerous options for expanding your healthcare ecosystem within a rapidly changing environment.
John Paladino directs the activities of the InterSystems support, quality assurance, internal computer operations, and customer education groups. Since joining InterSystems in 1984, he has been instrumental in developing an automated support tracking system, customer training programs for all InterSystems software products, creation and implementation of service standards designed to improve responsiveness and increase customer satisfaction, and multiple domestic and international team-building initiatives.
Improve performance, deliver exceptional application reliability, power data analysis and standards-based interoperability. Built-in support for FHIR based interoperability and access to TrakCare API's provides numerous options for expanding your healthcare ecosystem within a rapidly changing environment.
Improve performance, deliver exceptional application reliability, power data analysis and standards-based interoperability. Built-in support for FHIR based interoperability and access to TrakCare API's provides numerous options for expanding your healthcare ecosystem within a rapidly changing environment.
Streamline all aspects of how clinicians interact with TrakCare and revolutionize the experience with our next generation workspace for clinicians, the Encounter Record. From reviewing patient records, initiating patient centric care activities and plans, through to completing clinical documentation, convenient access to all patient information and guided use of tools is available without having to leave the active work-space.
Improve performance, deliver exceptional application reliability, power data analysis and standards-based interoperability. Built-in support for FHIR based interoperability and access to TrakCare API's provides numerous options for expanding your healthcare ecosystem within a rapidly changing environment.
Improve performance, deliver exceptional application reliability, power data analysis and standards-based interoperability. Built-in support for FHIR based interoperability and access to TrakCare API's provides numerous options for expanding your healthcare ecosystem within a rapidly changing environment.
Improve performance, deliver exceptional application reliability, power data analysis and standards-based interoperability. Built-in support for FHIR based interoperability and access to TrakCare API's provides numerous options for expanding your healthcare ecosystem within a rapidly changing environment.
Improve performance, deliver exceptional application reliability, power data analysis and standards-based interoperability. Built-in support for FHIR based interoperability and access to TrakCare API's provides numerous options for expanding your healthcare ecosystem within a rapidly changing environment.
Improve performance, deliver exceptional application reliability, power data analysis and standards-based interoperability. Built-in support for FHIR based interoperability and access to TrakCare API's provides numerous options for expanding your healthcare ecosystem within a rapidly changing environment.
Improve performance, deliver exceptional application reliability, power data analysis and standards-based interoperability. Built-in support for FHIR based interoperability and access to TrakCare API's provides numerous options for expanding your healthcare ecosystem within a rapidly changing environment.
Improve performance, deliver exceptional application reliability, power data analysis and standards-based interoperability. Built-in support for FHIR based interoperability and access to TrakCare API's provides numerous options for expanding your healthcare ecosystem within a rapidly changing environment.
In a constantly changing healthcare world, InterSystems is committed to delivering a product that empowers our customers to be both agile and resilient. In T2022, we do this by focusing on user experiences that maximize workforce satisfaction and system adoption; delivering world class interoperability that frees your data and makes it flow; and enabling innovation that is possible without disrupting your critical clinical and business workflows.
Of course, healthcare information systems must always deliver value, enable safety and compliance and ensure care processes seamlessly connect for better coordinated care and patient experiences. As with every release of TrakCare, we do this in the context of a solution that we are committed to keeping the most unified and openly available in the world.
• Prescribers can now be informed whether the medication they are ordering is available in stock within the hospital. The new Stock Availability API functionality provides improved efficiency in downstream workflow for pharmacists and nurses decreasing the need to contact prescribers to find alternative medications
• The ability to disclose the price of a service(s) to patients at the time they are being Ordered (via the 'Check Price' function) now includes 'Billing Packages' in addition to individual order items
• Staff tasked with booking appointments for future patient orders (Booking Orders Workbench) can now see the Payor Approval Status for the requested service and navigate to the request details via an interactive icon
Clinicians can more easily review patient orders and discern a patient's overall course of treatment or planned future care with a new Clinical Timeline called Order Timeline. Orders are displayed in a graphical longitudinal format with 'status' always visible and additional details accessible via a popover. The Order Timeline displays all Orders except rehabilitation and medication (i.e. orders not served by existing Timelines)
Laboratory
• New data dimensions have been added to Laboratory analytics cubes for Test Item, Protocol Material and Protocol Procedure. They extend access to information about 'Not Performed' reasons and usage to help inform billing outcomes
• Numeric, Free Text, Coded, and Titre Results displayed on a TCLE Doctor Report can now optionally display an indicator (as a subscript to the report) when the test was performed in a Referral Laboratory
Maternity
• New data dimensions have been added to Maternity decision support cubes for 'Blood Loss' and 'Induction Indicators'
The prescribing levels available for 'Document Order' (previously called One Touch Prescribing) are now controlled by the 'TrakCare/Integrated Stock Management' parameter. This prevents claims for Virtual Medicinal Product Pack (VMPP) prescriptions being sent to payors which would result in claim rejections
Medication Transfer Plan: Communication during transition of care is improved with new capabilities that provide clinicians with the ability to document a Medication Transfer Plan as part of the medication review process when a patient transfers from one ward/department/location/care provider to another
Clinical Handover and Care Provider Assignment: A new more flexible and user friendly approach to supporting clinical handover processes and the assignment of care to individual care providers as members of the patients immediate care team is now available. This functionality includes:
• Multi-patient handover where care providers of any type can allocate themselves to one or more patients at a time
• Better accessibility as new menus are available from commonly-used work spaces e.g. Ward List, Dynamic Patient Lists
• Easy access to a filterable list of current and historical care providers including contact details
• Encounter Record integration for providing quick access a handover-specific Entry Type to support role-based handover documentation
• Time tracking and audit of care provider assignments
• Laboratories can now implement more explicit policies for controlling which staff members have the right to mark test sets as 'Not Performed' either with or without approval being required. Policies can also be implemented to require authorization prior to the cancellation of high value testing that may already have incurred cost to the laboratory. Not Performed tests can be added or removed from a designated queue based on the entered 'Not Performed' reason enabling additional review or action to be taken e.g. notify referring doctor
• Introduction of a 'Test Set Item Billing Flag' and a 'Procedure Billing Flag' facilitates better integration with third party billing solutions. The flags can be used to more accurately control if tests that were 'Not Performed' are, or are not, to be billed and if procedures within a lab protocol are to be billed
• An additional method to automatically assign laboratory test results to a work queue when review by a pathologist is needed prior to release of the results is now available. Configuration of Clinical Review Criteria for different test types drives the display of new Icons to highlight to users the failure of these criteria and will also be available to Visual Rules and Analytics
TrakCare Medication Management now provides the ability to prescribe regional anaesthetics via a pump program and nurses can document administration accordingly. The prescription can define any combination of basal rate, PCA bolus with lockout, programmed bolus and maximum dose for duration. Data from pumps is manually entered into TrakCare via the Regional Anaesthetic Chart (MEUI)
• Transferring a waiting list patient between hospitals is faster with the addition of a new patient context Transfer Menu
• Referring Doctor can now be selected to receive communications when a patient is removed or reinstated to a waiting list (in addition to the GP and Patient)
• Listing Doctor (OT Waitlist, Request or Booking doctor) can now be seen from OT Booking as well as Waiting Lists
• A new way to view items within a Clinical Pathway is now available. The Pathway List clearly indicates the status of each item in the Clinical Pathway grouped by planned start date. Pathway List is now the default display however users can toggle between it and the original Pathway Tree view
• The display of data elements on the Pathway Details Screen is now controlled by the context of the Pathway Item. This means the details screen is less cluttered, more relevant and easier to read/edit
• Clinicians can quickly place orders for any number of Items in the Clinical Pathway that are 'orderable' by toggling the Pathway List to 'Order View' and simply adding them to the Order Cart. The logic for linking Orders and Pathway Items has also been amended to prevent mismatches occurring
• Pathway Alerts and Warnings display in the Pathway List and Order View if a pathway item cannot be actioned by the logged on user for any reason
• Medication History can now be added to the patients Encounter Record using the Mini-EPR screen as well as Encounter Record Actions. This provides more flexibility for clinicians who can also view, edit and delete Medication History details directly from the Encounter Entry
• The ingredients required for an injectable admixture prescription can now be dispensed from different locations e.g. additive dispensed from pharmacy and solvent from ward stock. This supports various stock storage and supply policies e.g. operational hours of pharmacy, storage of high cost ingredients etc
• A new method (back-end) for calculating the ending of therapeutic duration (derived from a medication order) can be utilized in custom front end development to alert clinicians to the expected Treatment End period so appropriate next steps can be taken in a timely manner
• Clinicians using TrakCare's Discharge Planning (part of Medication Reconciliation) can now document individual decisions about every individual medication for the patient whether Home, Hospital, Linked and Identical or not
• The logic for auto-resolution of prescribed pharmacy items into stock items is now more flexible. Regions can create auto-resolution rules using a new custom API that ensures results are available by the time the user navigates to the Pharmacy Workbench
• Patient information that is automatically pulled into a Clinical Summary when it is first commenced (based on the default chart defined for the summary) can now be refreshed at any time prior to authorization ensuring any changes are automatically included
• Locating conditionally mandatory fields on MEUI screens with Collapsed sections is easier with ability to auto-expand (on screen load)
• Control over the display of system level EPR chart items is enhanced with ability to configure defaults at site and region level
• The process of recording when items packed in the pharmacy have been collected is now easier with the ability to use barcode scanning to quickly identify stock item and mark as 'collected'
• Numerous enhancements to Clinical Timelines originally introduced in T2019 include:
A new Pop-over function makes it possible to see details about items displayed on a Clinical Timeline (e.g. Events or Graphed items) without needing to navigate away from the timeline. Pop-overs also provide the ability to easily navigate to the details component of the displayed data if required
• Ability to conditionally suppress, as well as collapse, display of the Timeline legend
• New timeline intervals and logic for automatically selecting a default display interval make it easier to interpret information despite different data densities. 1, 5, 10, 15, 30 and 60 minute intervals are available
• Consistent display of Row Labels across all Clinical Timeline types makes interpretation and navigation of data easier for clinicians
• There is now better support for stand-alone laboratories to process referral orders that require future collection of specimens
• A new icon informs laboratory staff when an Observation Item has an Observation Template linked to it. The icon also indicates if notes have been entered against the template
• Reduction in manual data entry for specimen collection is enabled with new logic for default date and time for both Lab Episode and Specimen Collection
• Adding procedures and sub-protocols to a Lab Protocol is now faster. New functionality allows selection of materials and adding of observations without repetitive workflows
• Upon update of the bulk Lab Episode Group screen all Test Sets and Specimen Container attributes are now saved
• Documentation, management and reporting of Adverse Drug or Event Reactions (ADERs) has been expanded. Detail about the event can be recorded for both individual orders (Order Item) and specific administrations of the order (Administration Node) using an enhanced Adverse Events screen and linked questionnaire. All ADER's for a patient can be viewed in a dedicated EPR chart. This functionality supports reporting of adverse events related to vaccination administration for example
• Clinicians using TrakCare MEUI now have access to the Incomplete Orders functionality. This allows Orders from an abandoned Ordering Session (e.g. clinician had to attend to an emergency) to be preserved and subsequently retrieved from the Notification Centre for completion within defined timeframe
• Medication Orders where dosing is to be based on a protocol (e.g. sliding scale subject to evaluation of clinical parameters) can now have a Baseline Dose (a starting dose that is the basis for determining dose by protocol) clearly specified whenever the protocol dosing method requires it
• The requirement to conduct a Pharmacy Review prior to packing or administration of certain medications with a status of STAT can now bypassed (subject to configuration) ensuring urgent orders are not delayed
New calculations improve accuracy and reduce margin for error
• Nurses can now more easily determine the quantity needed to satisfy orders prescribed at strength-form level when resolving the order from ward stock with stock tracking turned on. The 'Suggested Quantity' column displays pre-calculated quantity in base unit of measure removing potential of error from manual calculation
• TrakCare can now calculate the required flow rate for recipe based infusion orders in scenarios where the unit of measure specified in the admixture recipe (e.g. milligrams) differs from that entered in the prescription details (e.g. micrograms)
Test result values can now be used to set a 'Clinical Review Required' flag that can subsequently be used for test set additional verification routing, initiating visual rules actions, and analytics. The flag is driven by configuration against numeric or coded result values.
Improve Record Keeping and Reporting Accuracy in the Lab
• The calculation of turnaround time for laboratory test sets that are added after the original request is received (e.g. triggered by visual rule or manually) now observes the time when the additional test sets are added
• Instrument Events (e.g. cleaning) can now have Instrument Records associated allowing all the details of the event to be comprehensively documented (e.g. each step associated with the 'cleaning' event). Instrument Event Record Type can be marked as mandatory ensuring that required Event Records are always completed
• Laboratory staff use the TCLE Instrument Control function to Start or Stop the interface upon instrument start-up and shut down. TCLE now automatically logs each interface start/stop as an Instrument Event including the logged on users credentials
• The consent questionnaire property of a report can now be amended by customers. This supports variation in use of digital signing for consent documents
• Clinical Notes can now be excluded from selection/display based on 'type'. This enables restriction to e.g. clinical notes with sensitive data
• Titles displayed in browser tabs and task bars now comply with Section 508 accessibility. They reflect the currently displayed primary component
• Several enhancements improve the ability to triage the success of a printing reporting batch
• In TCLE a new queue attribute of "Prevent Validation via Result Entry" has been introduced. It prevents any attempt to validate the test set from the result entry component. This assists in the management of tests sets that are already on a queue enabled for bulk validation and must be processed from that queue only
A range of enhancements extend integration capabilities between third party systems and Trakcare. They include:
• Inbound search supported for 5 additional identifiers (Other MRN, Passport Number, Safety Card Number, National ID and Government Card Number as well as Episode Number
• Better support for external queries where the patient has Merged records in the TrakCare database
• Enhanced syncing of data between TrakCare and Personal Community Portal with new optional patient demographic updates.
• Ability to execute multiple APIs within the same session ID using the SYS API when calling TrakCare
• Metadata from systems making API and SOAP calls to TrakCare can now be included in audit data e.g. IP Address of calling user
New capabilities added since initial release in T2021 include:
• Multi-episode registration for Environmental and Veterinary testing
• Recording identifiers for each member of a test group (e.g. individual animals in a herd) against a single lab episode group with ability to quickly generate individual episodes for each group member
• Documenting the location and facility type of non-human test subjects (e.g. animals located at a farm property or veterinary clinic)
• 3rd party systems can now generate report documents similar to those created by TrakCare using a new Document Query API. This enables patient portals, mobile apps and other applications to access TrakCare documents on demand while maintaining system performance. The solution uses standard IHE.XDSb messages
• Baseline support to enable storage of TrakCare patient and episode documents to external storage systems (Vendor Neutral Archives) while keeping meta data in TrakCare in now available
Advances in digital health are being powered by data. When you document and deliver care with TrakCare, data captured at the source is healthy from the very start and unified in the patient record so that you can safely and effectively use it for maximum value.
To learn the ways you can personalise TrakCare for your organization's needs as well as your own, click to watch our video.
Advances in digital health are being powered by data. When you document and deliver care with TrakCare, data captured at the source is healthy from the very start and unified in the patient record so that you can safely and effectively use it for maximum value.
Follow one of Bumrungrad’s leading gastroenterologists, Dr. Tossapol “Toss” Kerdsirichairat, as he recounts how analytics, powered by InterSystems TrakCare data, helped him treat a first-time patient from another country”.
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